南充市龙门镇嘉龙社区居民高血压管理现状的调查分析

Investigation and Analysis of the Situation of Community Resident Hypertension Management in Jialong Community of Nanchong Longmen Town

目的:为进一步开展高血压患者社区健康促进工作及针对性的高血压综合管理提供科学依据。方法:根据相关文献制定《社区高血压综合管理调查问卷》,调查南充市龙门镇嘉龙社区的高血压病患者,采用χ2检验分析不同人群高血压知晓率、治疗率、控制率及影响因素。结果:共发放问卷550份,回收有效问卷532份,有效回收率为96.7%。受访者高血压相关知识的知晓率、高血压治疗率及控制率分别为38.0%、58.1%、51.7%。知晓率的主要影响因素是性别,男性受访者知晓率高于女性;治疗率的主要影响因素是年龄、文化程度、血压级别;控制率的主要影响因素是年龄、性别、吸烟、饮食、饮酒。结论:建议从加强健康教育、个体药物及非药物综合干预、基层医师培训、多方位合作等方面着手,完善社区居民高血压管理。

OBJECTIVE： To provide scientific evidence for the further development of community health service for hyperten sive patient and comprehensive management of community hypertension. METHODS： A total of 550 questionnaires were sentout, and 532 effective ones were collected with recovery rate of 96.7%. According to the related literatures, Community Hypertension Comprehensive Management Questionnaire was developed to survey 532 hypertension patients from Jialong community of Nan chong Longmen Town. Awareness rate of hypertension, treatment rate, control rate and influential factors were analyzed in different populations by Z2 test. RESULTS ： The awareness, treatment and control of hypertension were 38.0 %, 58.1% and 51.7 % respec tively. The gender was the main influential factor of awareness rate, and awareness rate of male was higher than that of female. The main influential factors of cure rate included age, education background and blood pressure. The main influencing factors of control rate contained age, gender, smoking, diet and drinking. CONCLUSIONS： It is suggested to strengthen health education, compre hensive intervention of individual drugs and nondrug intervention, community physician training and manysided cooperation so as to promote hypertension management of community residents.